SUSAN BASILICATO NP
NPI 1265403851
Registered Nurse - General Practice in Medford, OR

Active since January 31, 2006
1200 MIRA MAR AVE, MEDFORD, OR 97504(541) 664-5151 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Basilicato Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN BASILICATO NP (NPI 1265403851) is an individual general practice provider in Medford, Oregon, licensed in Oregon (07804146RN) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1265403851
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameSUSAN BASILICATOCredential: NP
Location Address1200 MIRA MAR AVEMedford, OR 97504-8546
Mailing Address1208 Beall LnCentral Point, OR 97502-1573 · (541) 664-5151
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateNovember 26, 2007
NPI 1265403851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in OR · 07804146RN
1200 MIRA MAR AVE, Medford, OR 97504

Other Identifiers 1

Medicare PINR114953OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1200 MIRA MAR AVE
MEDFORD, OR 97504
Physical Therapy Assistant
1200 MIRA MAR AVE
MEDFORD, OR 97504
Physical Therapist
1200 MIRA MAR AVE
MEDFORD, OR 97504
Occupational Therapy Assistant
1200 MIRA MAR AVE, ROGUE VALLEY MANOR
MEDFORD, OR 97504
Physical Therapy Assistant
1200 MIRA MAR AVE
MEDFORD, OR 97504
Massage Therapist
1200 MIRA MAR AVE, C/O EMA'S SALON
MEDFORD, OR 97504
Physical Therapy Assistant
1200 MIRA MAR AVE
MEDFORD, OR 97504
Nurse Practitioner (Gerontology)
1200 MIRA MAR AVE
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Basilicato's NPI number?

The NPI number for Susan Basilicato is 1265403851. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Susan Basilicato located?

Susan Basilicato practices at 1200 Mira Mar Ave, Medford, OR 97504. The listed phone number is (541) 664-5151.

What is Susan Basilicato's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Susan Basilicato was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.